Ziegeler G, Hilden A
Abteilung für Medizinische Soziologie, Universität Göttingen.
Rehabilitation (Stuttg). 1989 Aug;28(3):111-6.
Based on an introductory discussion of aspects involved in the nature of counselling in coronary patients and the problem of linkage between theoretical information and day-to-day living, a concept is set out for theme-centered counselling in the framework of out-patient coronary groups. Coping with the disease experience, reflecting the physical and psychosocial impact of the disease and its sequels, developing revised patterns of behaviour in dealing with stress and strain, as well as reassessing personal philosophies are suggested as essential objectives. Counselling techniques and contents of the approach implemented are outlined on the example of a group in existence for two years. The hitherto most important experience is that support within and by the group is the more effective, the more the group counselling process is pertinent to the social reality experienced by the various participants.
基于对冠心病患者咨询本质所涉及的各个方面以及理论信息与日常生活之间联系问题的初步讨论，提出了一个在门诊冠心病患者群体框架内以主题为中心的咨询概念。应对疾病经历、反映疾病及其后遗症的身心社会影响、形成应对压力和紧张的修订行为模式以及重新评估个人理念被认为是基本目标。以一个已存在两年的群体为例，概述了所实施方法的咨询技巧和内容。迄今为止最重要的经验是，群体内部和通过群体提供的支持越有效，群体咨询过程就越与各个参与者所经历的社会现实相关。
